Rubella during pregnancy

Rubber disease is often quite easy in children, but rubella during pregnancy can lead to serious negative consequences. Of particular danger is that the virus is transmitted by air-droplet.

During pregnancy, rubella is dangerous at the first time and can lead to miscarriage, the birth of a dead child, to the vices or his death in the first year of life. The virus from an infected mother is fully transmitted to the fetus and significantly harms its further development. Rubella before pregnancy or directly during the first half of the term, is considered an important indication for the interruption of pregnancy.

Children born from mothers who have undergone a rubella virus during pregnancy, in 100% of cases have severe mental and physical disadvantages. Therefore, the disease is considered deadly for the fetus. However, today there are effective methods of diagnosing disease and vaccinations that will help prevent the terrible consequences of rubella during pregnancy.

The concept of virus virus

Bacteria of the Togavirus group is the main pathogenger of Rubella or German measles, which is called the general concept of rubella. The disease is transmitted by air-droplet during direct contact with the virus carrier. The peak period of infection falls on spring and autumn time.

The virus carrier may not feel symptoms, but will be infected with the surrounding incidence during the entire period and a week after recovery. Most often, children are sick of rubella virus, and at an early age the disease flows easier than adults. After a unite infection, life immunity appears to the virus, which decreases with time, which means an incomplete guarantee against re-infection.

Signs of rubella during pregnancy

To determine the presence of a disease, consider the characteristic symptoms:

1. Pains and cramps of muscles and joints.
2. Headache.
3. Intoxication.
4. Red rash all over body or red spots.
5. Sleep disturbance.
6. Rubber, sore throat, cough.
7. Increase body temperature.
8. Redness and tear eye.
9. An increase in the size of lymph nodes on the neck, the occipital region or in the groin zone.
10. Worsening of well-being, chills.

Also, the disease can undergo asymptomatic. The incubation period lasts from 2 to 3 weeks.

Consequences of rubella virus during pregnancy

When planning pregnancy, rubella is better to diagnose in advance and make the necessary vaccinations, since the virus always damages the fruit and the consequences for the child are heavy and irreversible:

1. Anemia.
2. Vasculitis.
3. Wolf fall, debris sky.
4. Pneumonia.
5. Hepatoslenomegaly.
6. Hydrocephalus.
7. Hyperkines.
8. Glaucoma.
9. Deafness.
10. Diabetes.
11. Dystrophy.
12. Palsy.
13. Jaundice.
14. Idiocy.
15. Cataract.
16. Lymphadenopathy.
17. Straw.
18. Microphthalmia.
19. Microcephaly.
20. Myocarditis.
21. Paralysis.
22. Heart disease.
23. Bone Development Vices.
24. Abortion.
25. Sepsis.
26. Death in the first year of life.
27. Cramps.
28. Thrombocytopenia.
29. Increase liver.
30. Chronic pneumonia.
31. Exanthema.
32. Encephalitis.

Analysis on rubella during pregnancy

In any case, if you sick in childhood rubella or have been vaccinated once from the disease, it is absolutely necessary to pass blood on rubella during pregnancy, and better in advance for 3 months during its planning. You can also hand over the analysis on Torch infection (infections that lead to serious consequences during pregnancy) in any laboratory, which diagnoses both antibodies for rubella during pregnancy.

Consider the values \u200b\u200bof possible analysis results:

• vaccination is necessary with the complete absence of immunity - IgM (-), IgG (-);
• vaccination is not required in the presence of immunity - IgM (-), IgG (+);
• early infection with virus - IgM (+), IgG (-);
• acute disease - IgM (+), IgG (+).

If IgG rubella antibodies during pregnancy are positive, then this means that the previously transferred disease has developed immunity in the body and vaccination is not required. However, if the titer or the number of antibodies is lower than the rate of rubella during pregnancy, this indicates a low immunite to the virus and the need for vaccination.

The complete absence of immunity to the disease is expressed in the negative IGM and IgG rubellas during pregnancy. Also, the negative titer of antibody indicators to the virus below the norm is a reason for vaccination before pregnancy. If Igm Rubeligines for pregnancy are positive or higher than the norm, this indicates a dangerous early disease and the possible infection of the fetus through the placenta.

Grafting from rubella during pregnancy

Indications for vaccination

So, if immunity from the virus is normal, then vaccinations will not need and infection during pregnancy will not happen. If the indicators are below the norm or absent, then it is necessary to make a vaccine from rubella before pregnancy for 3 months. During this period, it is necessary to be protected, in order to avoid infection of the partner, as the vaccine contains a weak fraction of the virus to develop immunity.

The best time to vaccinate from rubella is pregnancy planning, since directly during pregnancy, the mother's vaccination and the fetus is no longer possible. If the disease is detected at an early stage, then you can plan a pregnancy after rubella not earlier than in 3 months.

Contraindications of Vaccination against rubella during pregnancy

Also vaccination has contraindications:

• with allergies on aminoglycosides;
• with allergies on egg protein;
• when entering a donor immunoglobulin;
• in immunodeficiency;
• under therapy with immunosuppression;
• in chronic diseases.

Prevention of rubella virus during pregnancy

Preventive actions against the dangerous effects of the virus for the fetus:

• diagnose the disease for the presence of a virus or immunity to it;
• in acute disease, undergo treatment;
• in the absence of positive indicators, making vaccinations from the virus not earlier than 3 months before conception;
• reuse the blood test analysis to detect antibodies;
• avoid contact with viruses.

If you limit contact with sick rubella

There are such cases when the hearth disease, that is, a child or an adult live directly into the family of a pregnant woman and limit contact is not possible, then the following actions should be taken to prevent infection of the remaining family members:

• treatment is usually carried out at home;
• bed regime must be provided;
• sometimes medicines that eliminate the symptoms of the disease are prescribed, but the virus can still be transmitted;
• hospitalization is carried out in the presence of complications;
• pregnant women should wear a medical mask and, if possible, limit contact with patients;
• it should be strictly followed by personal hygiene rules;
• do not kiss the sick during the disease and thoroughly wash your hands after contacts;
• determine the patient with separate dishes, towels, bed linen and other means of personal hygiene, and others do not use these things;
• processing dishes, toys and personal belongings follows at a temperature not lower than 60 degrees or disinfection with alcohol;
• do not forget that after the end of the disease, the virus sneezes still spreads;
• after illness, pass the blood for the analysis of the rubella virus.

Actions in dealing with rubella during pregnancy

If a pregnant woman has no antibodies to rubella after a transferred disease or vaccination, but there was contact with the virus carrier, then it needs to urgently ask for advice to the attending gynecologist or infectious compartment. Experts will conduct detailed analyzes and inform you about the presence of a virus in the blood and the fetus.

Under the dysfunctional result of the mother can assign amnocentsizing. If the surveys indicate the presence of defects in the child, then the issue of pregnancy interruption is solved. If an abortion is impossible to carry out an abortion, the intramuscular course of immunoglobulin is introduced and prevention is carried out for the treatment of placental insufficiency, unbearable and fetal protection.

However, all these actions in infecting a pregnant woman do not affect the infection of the fetus, but only facilitate the course of the Mother's disease. There is also a threat to the life of infected mother and child and abundant bleeding, septic blood infection, childbirth anomaly and an asphyxia of a baby are possible. Newborn are virosters and pose a threat to infection.

Diagnosing newborns with rubella

When the following signs appear, newborn children conduct detailed serological, audiological, ophthalmic and neurological diagnostics:

• intrauterine infection;
• the presence of antibodies to the virus in the first six months of life;
• the presence or suspicion of the virus at the native mother during pregnancy;
• the presence of clinical symptoms of the occurring disease;
• the content of the virus in the blood of the umbilical
• the content of the virus in the urine, nasophaling, spinal cord liquids.

Analysis on infection TORCH Groups during pregnancy

When planning pregnancy, it is recommended to pass a common comprehensive analysis on Torch infection. All these diseases can proceed asymptomatic and cause fetal contamination and its vices or a breakdown of pregnancy. Such an analysis can be passed in any laboratory, which will show a common clinical picture at once 4 dangerous diseases:

• To - toxoplasmosis (toxoplasmosis virus);
• R - Rubella (Rubelli virus, German measles, rubella);
• C - Cytomegalovirus (cytomegalovirus);
• H - Herpes Simplex Virus (Simple Herpes Virus).

Such an analysis should be minimized 3 months before conception. If the analysis is commissioned already during pregnancy, the doctor will be able to determine according to indicators, compatibility of possible defects with life and possible treatment, or interruption of pregnancy under negative results. Such a dangerous virus is considered rubella, the virus of which causes ugliness or malformations of the fetus and practically incompatible with life.

The results of the study will show whether the mother is a carrier of the disease, whether a protective immunity has been developed at the moment or it has been developed. The main indicators are antibodies of groups M and G, that is, the sharp form of the disease (M) with a recent infection or long-time infection (G), the titers of which determine the chronic form or immunity depending on the deviations of the norm. If there is no antibody, there is no immunity to disease and should consult with a doctor about vaccination against these dangerous viral diseases.

In addition to the development of rubella fetus dangerous, the virus of which can be checked, there is no less dangerous toxoplasmosis virus, which does not exist on vaccination methods. The presence of this virus in the blood of the mother can also lead to a breakdown of pregnancy or significant vices and reasons of the fetus. To prevent infection, pregnant women should carefully observe the rules of personal hygiene, not to use raw or past thermal processing of meat species.

Also, the main causative agent of toxoplasmosis are pets Feline families. It does not matter whether it is a homeless cat or your favorite pet who does not go out. Pregnant women should completely limit contact with these animals, as they are all carriers of this virus, and it proceeds asymptomatic for many years.

Video about rubella during pregnancy

In conclusion, we propose to view the cognitive video of the rubella during pregnancy and the vaccinations from this virus:

Any woman, pregnant or only planning conception costs very carefully to their health, as it can affect the course of pregnancy and on the most fruit. Do not refuse the necessary surveys with the gynecologist appointed by you. Even if you feel completely healthy or know that they hurt in childhood rubella, it is worth remembering that immunity weakens with time, and many diseases can take place without symptoms.

If there is no immunity, you should not rely on luck and the case that contact with the sick during pregnancy can be avoided. Viruses leading to vices are transmitted by air-droplet and are not treated during pregnancy, but lead to irreversible consequences, both for the fetus and the health of the mother. Remember that, first of all, it is you yourself responsible for the health of your long-awaited kid.